Individual
MR. CARL W. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CRNA
Contact information
Practice address
5201 HARRY HINES BLVD, DALLAS, TX 75235
(214) 590-8000
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP127639
TX
Other
Enumeration date
03/12/2015
Last updated
07/05/2018
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